Nutrition Sector Coordination Meeting

1. Nutrition Sector Coordination Meeting • 16th July 2015

2. Agenda • Participants Introduction • Opening Remarks by FMOH • Review of last Nutrition Sector Coordination Meeting Action point • Sector Updates • 5W updates • Emergency response coverage & gap analysis • Sector requirements of RUTF for 2015 • Sector partner expansion plans - review • HCT 90-day plan - update • Presentation on Gender based Programming for Nutrition • Update on geographical security for expansion of CMAM sites - Terence Mckechnie • IOM DTM 4 Report – Stephanie (IOM) • Updates from sector members on sector activities • AoB

3. Action Points of 4th June May 2015

4. Nutrition Emergency Response Updates North-East Nigeria

5. Nutrition Activities in Nigeria NEJanuary – April 2015 • Screening in IDP camps • CMAM • IYCF • Community Sensitization & Key Messages delivery • Planned • Expansion of CMAM / IYCF • MMN • Food Vouchers

6. Nutrition Sector presence in NE by StatesJanuary – April 2015 Adamawa SMoH UNICEF IRC Borno SMoH UNICEF ACF Yobe SMoH UNICEF ACF

7. HCT 90-Day Expansion Plan • Endorsed by HCT • Monitoring on indicators will soon start • This 90-day plan will be extended to the end of year

8. HCT 90-Day Expansion Plan Priority Needs addressed by the plan • 1. Screening of children under the age of five in IDP camps and host communities. • 2. Treatment for acute malnutrition in IDP camps. • 3. Community awareness raising on Infant and Young Child Feeding (IYCF), breastfeeding and hygiene in IDP camps. Geographical Coverage • IDP camps and host communities in Borno, Yobe, Gombe and Adamawa. Caseload • 240,500 children under the age of five.

9. 1. Result/outcome to be achieved: 240,500 children under the age of five are screened regularly for acute malnutrition in the IDP camps, host communities and health clinics.

10. 2. Result/outcome to be achieved: 57,779 women and children have benefitted from infant and young child feeding (IYCF).

11. 3. Result/outcome to be achieved: 2,410 children with acute malnutrition have accessed appropriate management for acute malnutrition.

12. 4. Result/outcome to be achieved: 34,763 children and women have regularly accessed multi-micronutrients.

13. Rapid Assessment for ReturneesTentative Timeline

14. Tentative LGAs for assessment Gombi Hong Maiha Mobi North Mobi South Madagali Michika

15. Rapid Assessment for ReturneesNutrition Assessment Tool • N1. Is there a reliable informant/source for this section (refer to the assessment protocol, if no skip this section)? • □ Yes □ No informant/source If yes, specify: • N2. Are there any functioning health facilities/services in the community? • □ Yes □ No • N2.1 Is management of acute malnutrition (CMAM) established in Health facility? • □ Established □ Not Established • N2.2 Is management of acute malnutrition (CMAM) programme functioning? • □ Functioning □ Not Functioning If Functioning • □ Inpatient therapeutic feeding (TF) only □ In- & outpatient TF □ Outpatient TF only

16. Rapid Assessment for ReturneesNutrition Assessment Tool …….. Note: If CMAM center established & functioning go to 2.2 otherwise skip to 3.1 • N2.2. Any increase of number of under five children in CMAM centers if established & functioning • □ Yes □ No □ Don’t know • If yes • □ Not significant □ Significant • N. 2.3 What are the stock level of the nutrition supplies (RUTF and Routine Medicines)? • □ Adequate □ Insufficient □ Don’t know

17. Rapid Assessment for ReturneesNutrition Assessment Tool ……… Please discuss these questions with community if any available, otherwise ask health staff N.3.1 Has there been changes in breastfeeding by the women in this community/household since the emergency? a. Breast feeding more b. Breast feeding less c. Stopped breast feeding d. No change e. Don’t know N.3.2 Are there any problems in breastfeeding? a. No problems b. Lack of privacy/space c. No breast milk (perhaps due to stress, health) d. Don’t know e. Other N.3.2 Are pregnant and lactating women receiving any targeted food distributions? f. Yes g. No h. Don’t know N.3.4 Has there been any change in feeding practices for children aged 6 months – 2 years? i. No change j. Breastfeeding stopped k. Breastfeeding reduced l. Complementary feeding increased m. Complementary feeding decreased n. No complimentary feeding

18. Rapid Assessment for ReturneesNutrition Assessment Tool …… • N. 5) General food distribution • □ Yes □ No □ Don’t know • N. 6) Cash vouchers for food • □ Yes □ No □ Don’t know • Anthropometry (Draft only. Please use the format you use for smart)

19. IDP Camp Data from Adamawa The camps that are open and the number of IDPs are follows: • Camp Total Population Male Female • NYSC camp 2016 720 1296 • Malkohi camp 134 57 77 • Daware camp 2245 1117 1128 • Girei B camp 699 117 196 • St. Theresa camp 236 56 180

20. HNO & SRP 2016 • Kick-off workshops / meetings - August 2015 • Joint Needs Analysis – End of August 2015 • Endorsement of HNO – September 2015 • HRP Workshop – End September 2015 • HRP Project Process – October 2015 • HRP Finalization – Mid November 2015 • Monitoring Framework Finalization – December 2015 • National Launch – January 2016

21. Are we doing enough in NE? • High Acute Malnutrition rates • High Chronic Malnutrition rates • Overall situation – food security, livelihood, displacements, farming, Health etc

22. Lastly • FTS • Joint Visits to NE

23. Our Children and Women are in need of our assistance in NE !!!!